美容清创缝合结合瘢痕早期干预治疗儿童颜面部皮肤软组织撕脱伤疗效观察OA

Objective To explore the application of cosmetic debridement combined with early intervention of scar in children′s facial skin and soft tissue avulsion and evaluate the clinical effect.Methods A review of 20 cases of facial skin and soft tissue avulsion injuries of children who completed cosmetic debridement in our department from March 2020 to October 2022 was conducted.The principle of cosmetic debridement was adopted,and the surgical treatment under local anesthesia or general anesthesia.One week after wound healing,scar removal drugs were applied externally for 3 months,and pulsed dye laser(585 nm)treatment was performed once a month,a total of 3 times.The patients were followed up for more than 1 year to evaluate the scar and aesthetic satisfaction of children.Results In this group of 20 children,the wounds healed in the first stage after operation,the avulsed soft tissue survived well,and there were no infection and hematoma cases.There was no obvious scar residue in the injury site of children during the postoperative follow-up,and the satisfaction of facial appearance was high.Conclusion Applying the principle of cosmetic debridement and early intervention of scar to treat children′s facial skin and soft tissue avulsion can obtain good tissue reduction and appearance,which is worthy of clinical promotion.